Related Experiment Video

Updated: Sep 1, 2025

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
23:33

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation

Published on: February 28, 2012

83.8K

Embolic Cerebrovascular Accident Secondary to Device-Related Thrombus Post WATCHMAN Device Implantation

Palak Patel1, Nagapratap Ganta1, Giuseppe Filice1

  • 1Internal Medicine, Hackensack Meridian Health Ocean University Medical Center, Brick, USA.

Cureus
|August 18, 2022
PubMed

Insights

Device-related thrombus (DRT) can form after Watchman implantation for atrial fibrillation (AF) management. This case highlights a DRT leading to a cerebrovascular accident (stroke), emphasizing potential risks of left atrial appendage closure devices.

Area of Science:

  • Cardiology
  • Medical Devices
  • Thrombosis

Background:

  • Atrial fibrillation (AF) is a common arrhythmia requiring management to prevent thromboembolism.
  • Anticoagulation is standard for stroke prevention in AF, but bleeding risks exist.
  • Left atrial appendage closure (LAAC) devices like Watchman offer an alternative for stroke risk reduction.

Observation:

  • This case report details a patient who developed device-related thrombus (DRT) after Watchman implantation.
  • The DRT subsequently led to an embolic cerebrovascular accident (CVA).

Findings:

  • Device-related thrombus (DRT) formation is a significant risk associated with LAAC devices.
  • Embolic events, such as stroke, can occur secondary to DRT in patients with LAAC devices.

Implications:

  • This case underscores the importance of monitoring for DRT after LAAC procedures.
  • Further research into mitigating DRT formation and its complications is warranted.
  • Careful patient selection and risk-benefit assessment are crucial when considering LAAC devices.

Keywords:
anticoagulationatrial fibrillation (af)device related thrombus (drt)embolic cerebro vascular accident (embolic cva)left atrial appendage closure (laac)left atrial thrombuswatchman device

More Related Videos

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation28:13

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

33.5K
In Vitro Thrombosis Test for Ventricular Assist Devices09:15

In Vitro Thrombosis Test for Ventricular Assist Devices

Published on: March 21, 2025

764

Related Concept Videos

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
39
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
18
Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
37
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
19
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
20